疣状皮肤结核误诊股癣一例  

A case of tuberculosis verrucosa cutis misdiagnosed as tinea cruris

作　　者：景东云[1] 崔红艳[1] 王玲[1] 王学军[1] 夏玉坤[1] 吕雪莲 JING Dong-yun;CUI Hong-yan;WANG Ling(Dermatology Hospital of Dalian Dalian 116021, China)

机构地区：[1]大连市皮肤病医院,116021 [2]首都医科大学附属北京安贞医院皮肤科

出　　处：《实用皮肤病学杂志》2018年第3期179-180,共2页Journal of Practical Dermatology

摘　　要：42岁男性患者,臀部半环状红斑6年。既往多次诊断为股癣,抗真菌治疗反复不愈。查体见右臀部内侧境界清楚不规则半环形斑块,边缘可见暗红色溢脓性囊肿、结节。结构菌素纯蛋白衍生物(PPD)试验强阳性,反复真菌学检查阴性。组织病理提示感染性肉芽肿样改变。给予异烟肼、利福平及乙胺丁醇口服3个月,皮损完全消退。最终诊断:疣状皮肤结核。A 42-year-old male patient presented with semicircular plaque on hip over 6 years. In the course of previous diagnosis and treatment, he was diagnosed several times as tinea cruris and treated by antifungal compounds without response. Physical examination showed dark-red irregular half annular plaque with clear realm on the right hip close to median line, with dark red purulent cysts and nodules around the plaque. Repeated fungal examinations were negative and PPD tests were strongly positive. Histopathologic examination suggested infectious granuloma. Isoniazid, rifampicin and ethambutol by oral were prescribed for 3 months, and the lesion was cured completely. Final diagnosis was confirmed as verrucous cutaneous tuberculosis.

关 键 词：结核 皮肤 股癣 

分 类 号：R529.405[医药卫生—内科学]